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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1084 - 19th August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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19 month old female with new onset rash that started in the diaper area and now involves proximal arms/legs and cheeks. Erythematous, blanching patches in the diaper area (sparing folds) and neck, cheeks and the proximal arms and legs. No satellite lesions. No pustules. Biopsy of right thigh.

Case posted by Dr.Uma Sundram.

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Guest Romualdo


Agree: confluent parakeratosis and absent granular layer are suggestive of acrodermattis enteropathica.

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Uma Sundram


Yes, we called this nutritional deficiency. Very subtle but in some of the photographs focal epidermal pallor is evident. The patient had proprionic acidemia which can predispose to a nutritional deficiency related rash.

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